Treatment FAQ

how long does it take for cats thyroid levels to even out after radioactive iodine treatment

by Nikolas Johnson Published 3 years ago Updated 2 years ago

It is expected that your cat will return to a euthryoid state (normal) between 2 and 4 months after being treated with 131 Iodine. Hyperthyroidism is caused by hyperactive thyroid glands typically caused by a benign change to one or both thyroid glands where they stop responding to normal feedback mechanisms.

Full Answer

How long do cats stay in isolation after radioactive iodine?

No general anaesthetic is needed, and medication is not required long-term. There are strict laws in the UK controlling radioactive substances, which means that a cat having radioactive iodine therapy will have to stay in a specialised isolation unit between five days and four weeks.

Can a cat still have hyperthyroidism after radioiodine treatment?

Under 1% of cats treated with radio-iodine will still be hyperthyroid 6 months later. If this is the case with your cat, we’ll schedule a second treatment (within your initial fee) which will almost provide the cure. However, a very small proportion still won’t respond, and we wouldn’t normally offer a third treatment.

How does radioiodine therapy work for cats?

Your cat will receive attention two times daily from one of our radioiodine therapy technicians. During this time your cat will receive routine care (feeding, watering, litter change, cage clean-up). We operate on a lights-on / lights-off basis. For normal daylight hours we provide natural lighting and music for our patients.

How long does it take for hyperthyroidism to heal in cats?

Their hyperthyroidism won’t come back, and they don’t need ongoing medication. Most cats respond to treatment within weeks, although some take up to 6 months to gain the full benefit. However, that may not be the case in a very small number of cats.

Can hyperthyroidism come back after radioactive iodine in cats?

Most hyperthyroid cats respond fully to a single injection with radio-iodine. Their hyperthyroidism won't come back, and they don't need ongoing medication. Most cats respond to treatment within weeks, although some take up to 6 months to gain the full benefit.

Can thyroid still function after radioactive iodine treatment?

Some patients will still require treatment with antithyroid medication for some weeks or months until the radioactive iodine has been effective and the overactivity has settled. Over two-thirds of those who have radioactive iodine treatment will develop hypothyroidism (an underactive thyroid).

How long until thyroid medication works in cats?

The cat's natural thyroid hormone levels will be reduced in one to three weeks. After your cat is stabilized on methimazole, blood tests for thyroid hormone levels usually are performed every three to six months.

Does radioactive iodine therapy cure hyperthyroidism in cats?

Our studies have shown that a single dose of radioiodine is effective in curing hyperthyroidism in over 97% of cats that are treated. Even those cats that are not completely cured after one treatment, however, show some lowering in the circulating thyroid hormone levels and improve clinically.

How long does it take for radioactive iodine treatment to work?

The effect of this treatment on the thyroid gland usually takes between one and three months to develop. Maximum benefit occurs three to six months after treatment. Usually, a single dose is successful in treating hyperthyroidism.

How successful is radioactive iodine treatment?

Conclusion: Radioactive iodine treatment is an effective modality for definitive treatment of hyperthyroidism with long-term cure approaching 80%.

How long does it take for thyroid levels to stabilize?

If your healthcare provider treats your condition with antithyroid medications (methimazole or propylthiouracil) your hormone levels should drop to a healthy level in about six to 12 weeks.

How long do cats live after radioactive iodine treatment?

“Studies have shown that cats treated with I-131 live longer than those treated with pills,” added Mosenco, citing a study where I-131-treated cats lived an average of four to five years following treatment, versus an average of only two years for cats on medication.

What is a normal thyroid level for a cat?

The range of T4 results for female cats was between 8–153 nmol/litre, while males had a range of 14–102 nmol/litre.

What are the long term side effects of radioactive iodine for cats?

Cats may also continue to show signs of hyperthyroidism, including vomiting and diarrhea, for 3-4 weeks after the radioiodine therapy as the disease continues to resolve. The risk to these cats is the simple fact that many cats in the age range when cats develop hyperthyroidism (8+ years) also develop other diseases.

How long can a cat stay on methimazole?

One way to treat a cat with hyperthyroidism is with an oral medication that contains methimazole. The medication can be given life-long or to stabilize the cat before other treatment options, such as radioactive iodine therapy or surgery.

Will my cat gain weight after radioactive iodine treatment?

Your cat's behavior will change within a few weeks. Some cats require 2-3 months for all the clinical signs to return to normal. Your cat will become calmer, gain weight, better grooming, vomiting will stop, and less drinking and less urinating. 5.

How long does it take for a cat to respond to radio iodine?

Their hyperthyroidism won’t come back, and they don’t need ongoing medication. Most cats respond to treatment within weeks, although some take up to 6 months to gain the full benefit. However, that may not be the case in a very small number of cats.

How to take a cat home?

What about taking your cat home? 1 For the homeward journey, we’ll use Feliway Transport or Pet Remedy ahead of your discharge appointment. We can also starve your cat if it’s likely to get car sick; just let us know. 2 Please don’t bring children with you to collect your cat, and if you are (or could be) pregnant, please arrange for someone else to come on your behalf. 3 Once at home, your cat can come into contact other pets (we have guidelines for this), and your treated cat’s moulting hair is not itself radioactive unless contaminated with urine or faeces.

How to keep kids away from cats?

Keep young children well away from your cat. Use separate rooms, and possibly door locks.

Can cats have thyroid cancer?

However, a very small proportion still won’t respond, and we wouldn’t normally offer a third treatment. These cats may have a cancerous thyroid tumour, and would need significantly higher doses of radio-iodine before they would respond.

Can cats be hypothyroid?

Some cats are very sensitive to radio-iodine, and may go the other way – becoming hypo thyroid, where thyroid hormone levels are too low. This usually self-corrects in time. Some will remain hypothyroid with no apparent ill-effects, but around 2% will develop clinical signs such as weight gain, coat changes, personality changes and perhaps excessive drinking. Hypothyroidism is easily treatable.

How long after radioiodine therapy can you have high thyroid?

Patients that continue to have high levels of thyroid hormones by 3 months after the radioiodine therapy probably will require re-treatment. This has only been noted in approximately 5% of cases.

Why is radioiodine not concentrated in thyroid tissue?

Therefore, the radioiodine is concentrated by the hyperactive, abnormal thyroid tissue. Because the normal thyroid tissue becomes atrophied (decreased in size and ability to function) in the hyperthyroid patient , the normal thyroid tissue itself should not concentrate the radioiodine.

Why do cats stay in the hospital longer with kidney disease?

Due to the removal of iodine through the kidneys, cats with preexisting kidney disease may have to stay longer because the radioiodine may not be removed from the body as quickly. The patient will be monitored at regular intervals to determine when they are able to be released.

How long does a cat stay in the hospital?

The hospitalization period varies from cat to cat, but is generally - between 5-8 days. The effective half-life of the radioiodine (decay of radioactivity) can be quite variable depending upon each cat’s ability to excrete via the kidneys and the amount of time the radioiodine is bound to the thyroid. Due to the removal of iodine through the kidneys, cats with preexisting kidney disease may have to stay longer because the radioiodine may not be removed from the body as quickly. The patient will be monitored at regular intervals to determine when they are able to be released. The patient can be released from the hospital once the exposure rate from the radioactivity in the body reaches a level that is deemed to be safe to the general public (i.e.: owners), which has been established by the University and the Minnesota Department of Health.

What is the most common hormonal disease in cats?

Hyperthyroidism may be the single most commonly diagnosed hormonal disease in cats next to diabetes. It is generally a disease of older cats with an average age around 9-10+ years, but can be seen in cats as young as 5 years of age. In most cases, the disease is caused by a growth of abnormal, non-cancerous cells which secrete thyroid hormones in ...

How do you know if your cat has hyperthyroidism?

If left untreated, a hyperthyroid cat can exhibit many, if not all, of the following signs: extreme weight loss, excessive appetite in most cases, but decreased appetite in some, muscle weakness, heart disease (in crease in the size of the heart, increased rate, changes in heart rhythm, cardiac arrest), intolerance to stress, and eventually death.

How long after discharge can you pet?

You will need to limit contact with your pet during the two week period following discharge from the hospital. This will include having your pet sleep in an unoccupied room, restricting your pet from food preparation areas, and not letting your pet sit on your lap. Limited (less than one total hour per day) petting is acceptable. It is important that you always wash your hands after any contact with your pet or your pet’s excreta during the two weeks. This will help to prevent the spread of radiation to other regions of the house as well as to decrease the exposure to you from any possible contamination.

How long does a cat have to be in isolation for iodine?

There are strict laws in the UK controlling radioactive substances, which means that a cat having radioactive iodine therapy will have to stay in a specialised isolation unit between five days and four weeks.

How to treat hyperthyroidism in cats?

Surgery is the second most common treatment for feline hyperthyroidism and involves removing the thyroid gland. There are two, one on each side of the windpipe. It’s common for only one side to be affected at first, although in many cases the second gland will also become affected.

What is the safest treatment for thyroid problems?

Radioactive iodine therapy is considered the safest and most effective treatment. The thyroid stores iodine, and small amounts of radioactivity can stop the overactive gland from producing too much thyroid hormone.

Why does my thyroid stop working?

This is mainly due to parathyroids – smaller glands attached to the thyroid glands – which control the level of calcium in the blood. When a thyroid gland is removed , the parathyroids might stop working, which can be permanent.

How does the brain control thyroxine levels?

The brain controls the level of thyroxine by telling the thyroid gland how much to make. Growth in the thyroid gland can cause hyperthyroidism, producing more active cells. However, these cells can develop out of control and instead produce thyroxine continually instead of the amount that is needed. High levels of thyroxine in cats can force the ...

What is the condition in which the thyroid gland is overactive?

Feline hyperthyroidism is an extremely common condition that occurs when the thyroid gland in the neck becomes overactive. The thyroid glands produce a hormone (thyroxine) that controls the animal’s metabolic rate – i.e how the body uses energy. The brain controls the level of thyroxine by telling the thyroid gland how much to make.

Why is my cat not having thyroid surgery?

The main reason surgery may not be successful is due to both glands being affected. In rare cases, there may be abnormal thyroid tissue inside the chest, and it’s not normally possible to diagnose this before both glands have been removed. Abnormal thyroid tissue can be controlled by any of the other treatments quite successfully, or your cat can be referred for specialist surgery.

How often should I check my cat for thyroid?

A thyroid test should be included in any senior blood screens from this point on, generally every 6-12 months. After successful cure of hyperthyroidism with I-131, most cats do not relapse, i.e., grow a new thyroid tumor in the future. The incidence of recurrence is fewer than 1 in 200 cats treated at our facility.

How many cats will be cured after I-131?

The vast majority ( 94-97% ) of cats will be cured after one injection of I-131.

How does radioiodine work?

How Radiodine Treatment Works. Our treatment objectives are to eliminate all hyperactive thyroid tissue and to avoid lifelong methimazole. Radioiodine-131 selectively destroys hyperactive thyroid tissue and little of the normal tissue surrounding it . Once the abnormal tissue is destroyed, suppression of thyroid hormone production ...

What is the purpose of a thyroid test?

The exam determines whether signs related to the thyroid disease are resolving. Blood tests assess thyroid hormone levels to determine whether cure of the hyperthyroidism has been accomplished, as well as how other organs are functioning relative to the thyroid, mainly liver and kidneys.

Why do we need iodine salt?

Thyroid cells require iodine to produce thyroid hormones. That is why we humans choose iodized salt for our food.

Why do cats have recurrences?

The reason why some cats have a recurrence is not due to inadequate treatment with I-131; rather, a gradual growth of a new tumor in some of the normal tissue which was intentionally spared after initial treatment. Cats that develop hyperthyroidism are genetically predisposed to thyroid tumors and are exposed to substances in our homes that trigger the abnormal tissue growth.

How long does it take for thyroid to be normal?

Within 1 week to 3 months. At 1 and 3 months after the treatment, an exam and a blood test for thyroid and kidney function should be done by your veterinarian. The 1 month level thyroid may be slightly high, low or normal.

How long does a cat stay in hospital after radioiodine?

During the hospitalization stay, which is usually 2-5 days, ...

How long after hypurrthryoid treatment can you use cat waste?

Remember that pregnant women and children under the age of 18 should not have any contact with your cat’s waste products for at least 2 weeks after release from Hypurrthryoid Treatment for Cats.

What is the appointment for a cat to be examined?

THE DAY OF YOUR CAT’S SCHEDULED TREATMENT. The morning of your cat’s scheduled treatment, you will have an appointment scheduled for your cat to be examined by Dr. Currigan. The doctor will then provide a presentation about the radioiodine procedure, including both your responsibilities regarding after care and ours while your cat is hospitalized.

What medication does a cat need to stay in a hospital?

DURING YOUR CAT’S STAY. Once admitted to our facility, your cat will receive a mild anti-emetic (anti-vomiting) medication that also helps to relax him or her. We want to be sure that the cat does not vomit the radioiodine once given.

How long do you have to wait to put a cardboard cat carrier in the trash?

If a cardboard carrier is used, and your cat should urinate (or defecate or vomit) in the carrier, necessitating disposing of the carrier, you will need to wait 81 days prior to putting the carrier in the trash until the level of radiation in the urine (or excrement) has reached a low enough level for routine dumping in the trash.

How long does it take for a cat to return home after radiation?

Once your cat’s radiation levels have declined below the maximum allowed by federal and state law prior to being released from the hospital (usually 1-5 days ), your cat is able to return home. However, your cat will still have a low amount of radiation in his or her body.

How long can you pet a cat?

You can pet your cat at arm’s length distance as much as you want during this 2-week period as this is a safe distance. (It is not necessary to wear gloves to pet your kitty unless there is a chance that your cat has accidentally soiled its coat with urine or feces).

How to tell if my cat has thyroid issues?

Your veterinarian will likely confirm the diagnosis by doing blood tests that measure the level of your cat's thyroid hormones .

How do you know if your cat has hyperthyroidism?

The most common sign of hyperthyroidism in cats is weight loss despite an increased appetite. Other common signs include vomiting, diarrhea, hyperactivity, drinking and urinating more than normal, and an unkempt hair coat. Because the disease develops gradually, signs are often easy to miss at first.

What is the butterfly shaped thyroid gland?

The butterfly-shaped thyroid gland is located in the neck, with one lobe on each side. It plays an important role in regulating the body’s “engine,” or metabolic rate. When the thyroid gland produces an excessive amount ...

What is the most common endocrine disease in cats?

Hyperthyroidism results when the thyroid gland over-produces thyroid hormones. It’s the most common endocrine disease of cats older than 8-years-old. (An endocrine disease is a disease of the organs that make and secrete hormones.) In almost 99 percent of the cases, hyperthyroidism is caused by a benign (non-cancerous) tumor of the thyroid gland.

How often can you give a cat Felimazole?

Felimazole is available only with a veterinarian’s prescription. The drug is typically given by mouth every 12 hours. Your veterinarian will adjust the dose, as necessary, based on the results of your cat’s blood tests and response to treatment.

Why does my cat's engine run so fast?

When the thyroid gland produces an excessive amount of thyroid hormones, it causes the cat’s “engine” to run at an abnormally high speed. This high metabolic rate negatively affects almost all of the cat’s organs. Back to the top.

Why does my cat's heart enlarge?

Heart disease develops because the heart must pump faster and more forcefully to meet the body’s increased metabolic demands (du e to the cat’s revving engine). To compensate for this increased workload, the muscles of the heart thicken, causing the heart to enlarge and eventually fail.

How many I-131 treatments are there for cats?

The vast majority of cats will be cured with just one I-131 treatment.

When to return to vet after I-131?

At 1 and 3 months post I-131, please return to your regular veterinarian. A physical exam and blood work should be performed at both visits.

What medication should I give my cat to help him with anxiety?

We give anti-anxiety medication daily while your cat is here. (Gabapentin). Your cat may be slightly woozy when you pick them up.

Is I-131 a problem?

The I-131 decays rapidly and is in such small amounts, which are diluted so much in the mainstream sewers, that the radiation itself is not a problem. However, even ‘flushable’ corn and wheat litters are clogging our city sewer lines, so this method of disposal is best avoided. If you simply have no space to store a bucket, and must flush litter, then use one labeled ‘flushable’ so you will not clog your own plumbing. Scoop and flush litter daily. At the end of two weeks, all remaining litter in the box would also have to be flushed.

Can you take cat meds with pregnant women?

Under or next to the bed, or off your feet is safe. Wash your hands after handling your cat, its dishes, and litter box. Do not allow pregnant women or children to hold your cat. The dose you are exposed to is extremely low and will have no medical consequences for you.

Can cats have thyroid problems?

On the other hand, some cats have insufficient normal thyroid hormone production after the abnormal tissue is destroyed, and may require a natural supplement daily for life. Consider this a tolerable adjustment after successful cure of hyperthyroidism.

What happens if a cat doesn't take up thyroid?

What is not taken up by the thyroid will be present in the cat's bodily fluids and will primarily be voided in the cat's urine (in those first four days at the vet hospital). What is taken up by the thyroid will be released slowly over the next days/weeks to the other bodily fluids which is why they have the precautions that you describe.

Why is my cat being separated for 4 days?

One of the reasons the cat was held for four days was to allow for much of the radioactive 131 I to be excreted in urine so that the amount of external radiation exposure is significantly reduced.

How to control radiation exposure?

The three ways that we control exposures to external sources of radiation are time, distance, and shielding. Reduce the time near a source, increase the distance from the source, or use some sort of radiation absorbing shielding between you and the source of radiation and you will reduce your radiation dose .

Is cat litter radioactive?

Further, the litter will be radioactive as most of the radioactive iodine will be excreted via this route. I am certain that your veterinarian probably told you to take care when handling the litter and to wash your hands thoroughly after handling litter, the cat, and items that the cat came into contact with.

Does a cat have radioactive iodine?

Now let's deal with the issue of radioactive iodine released by the cat, which I believe is actually the bigger concern. All bodily fluids in the cat will have trace amounts of radioactive material within them, but it will be most prevalent within the urine.

Does iodine make cats drool?

I have a cat also and I know when she is happy and purring while sitting on my lap getting strokes, she drools. In a cat treated with radioactive iodine, the drool will contain radioactive materials. Cats also sweat through their paws and the sweat will have trace amounts of radioactive iodine.

Does 131 I cause thyroid issues?

What they are trying to prevent is the intake (ingestion, etc.) of the radioactive iodine into your body because, just like the cat, any 131 I intake you have will result in an uptake by your thyroid and in larger quantities could result in significant thyroid dose.

Causes

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Also called thyrotoxicosis, hyperthyroidism is caused by an increase in production of thyroid hormones (known as T3 and T4) from an enlarged thyroid gland in a cats neck. In most cases, enlargement of thyroid glands is caused by a non-cancerous tumor called an adenoma. Some rare cases of hyperthyroid disease are caused b…
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Pathophysiology

  • Thyroid hormones affect nearly all of the organs in the body; therefore, thyroid disease often causes secondary problems.
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Symptoms

  • Clinical Signs Cats afflicted with hyperthyroidism usually develop a variety of signs that may be subtle at first but that become more severe as the disease progresses. The most common clinical signs of hyperthyroidism are weight loss, increased appetite, and increased thirst and urination. Hyperthyroidism may also cause vomiting, diarrhea, and hyperactivity. The coat of affected cats …
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Diagnosis

  • Diagnosis A veterinarian who suspects a cat has a thyroid problem will conduct a physical examination and palpate the cats neck area to check for an enlarged thyroid gland (see Figure 2). The cats heart rate and blood pressure may also be checked. If thyroid disease is a possibility, your veterinarian will likely order a blood chemistry panel and an analysis of thyroid hormone lev…
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Treatment

  • Treatment There are four treatment options for feline hyperthyroidism: medication, radioactive iodine therapy, surgery, and dietary therapy. Each treatment option has its advantages and disadvantages. The treatment a cat receives for hyperthyroidism will depend on specific circumstances, including the patients overall health status, the owners ability and willingness to …
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Benefits

  • Removal of the thyroid glands, called surgical thyroidectomy, is a relatively straightforward surgical procedure that has a good success rate. The advantage of surgery is that it is likely to produce a long-term or permanent cure in most cats, and therefore eliminates the need for long-term medication.
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Clinical significance

  • Because of the important role the thyroid gland plays in the body, some cats with hyperthyroidism develop secondary problems, including heart disease and high blood pressure. Elevated thyroid hormones stimulate an increased heart rate and a stronger contraction of the heart muscle, and can cause thickening of the left ventricle of the heart over time. If left untreated and unmanaged…
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Prognosis

  • Hypertension, or high blood pressure, is another potential complication of hyperthyroidism, and can cause additional damage to several organs, including the eyes, kidneys, heart, and brain. If hypertension is diagnosed along with hyperthyroidism, drugs may be needed to control the blood pressure and reduce the risk of damaging other organs. As in the case of heart disease, after th…
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